201 & 275 SAILFISH DR - ELECTRIC SAFETY J' r Jv��
ts1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
.P 05319'' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0016
Description: 125 amps/240 volts/single-phase-safety inspection
Estimated Value: 0
Issue Date: 1/16/2018
Expiration Date: 7/15/2018
PROPERTY ADDRESS:
Address: 201 275 SAILFISH DR
RE Number: 170579 0000
PROPERTY OWNER:
Name: PETERSON TERRY LEE TRUST
Address: 1500 SELVA MARINA BLVD
ATLANTIC BEACH, FL 32233-0805
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CRAWFORD ELECTRIC
Address: P 0 BOX 51045 P.O. BOX 51045
JACKSONVILLE BEACH, FL 32240
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
21
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845 �-&S1 Z - 0019
JOB ADDRESS: QI Si(V-I`sL Pfc C 1/C2 1( PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 125.- AMPS v2O VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE El Overhead n Underground nT Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps CI CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps )101-150amps ❑151-200amps ❑ amps #of Unit Meters
CI Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps El CT Service _amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 111200amps ❑ amps 0C Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can Lafety Inspection ❑Panel Change 0O to UG
❑Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. -y,
Property Owners Name ' We•-•
Phone Number t.,13 7'-Oc5 -
Electrical Company C frx,, J Cleckic lid Office Phone el I-51/ Fax PM/4A
Co.Address: 2-720 I 14c is L T.,-,-.1li City- 1.1,44„,.._ State P- Zip 32 Z(Z
License Holder(Print): :, l / State Certification/Registration# el /36c)26 Y%
. WM, ''.- ,irg�gp�f.� �nse � older All:F:'�r"' " MY COMMISSION#FF 191513
i*i �; EXPIRES:May 21.2o19 Sworn and subscribed befor= e is ' :a •f -tifn� 204
%.,,;;;;,t,1-.7 ru Notary Pubh.Undenfite@,
Bonded Th /
Signature of Notary Publi( 4